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Montana rates for HCPCS 28272

Capsulotomy Iphal Joint Each Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.92 / $367.57 / $1,345.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.13 / $440.15 / $603.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.13 / $400.13 / $400.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.01 / $400.13 / $664.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.05 / $319.02 / $528.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.86 / $464.89 / $773.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.91 / $464.91 / $3,200.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.18 / $630.00 / $720.00